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Individual

GAIL M STERNKOPF HECKENBACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
1535 STATE ST, SALEM, OR 97301-4255
(503) 364-3787
(503) 763-3595
Mailing address
1535 STATE ST, SALEM, OR 97301-4255
(503) 364-3787
(503) 763-3595

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
099007168NMNP
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
099007168NMNP
STATE LICENSE
OR
01
099007168RN
STATE LICENSE
OR
05
297448
OR
Enumeration date
06/01/2006
Last updated
04/08/2013
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